The invisibility of public health: Population-level measures in a politics of market individualism
The invisibility of public health: Population-level measures in a politics of market individualism
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DOI：
10.2105/ajph.87.10.1607
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发表时间：
1997-10-01
影响因子：
12.7
通讯作者：
Burris, S
中科院分区：
文献类型：
--
作者：
Burris, S
本文将对政府的普遍政治攻击建模为一种启发式，一种通过对有限的相关数据进行简单测试来简化复杂现象的判断策略。市场个人主义的启发式为分析治理问题提供了三种工具：自由市场作为一种监管手段的至高无上地位，对个人选择自由和个人责任的信仰，以及将个人满意度提升为社会的主要目标。因为公共卫生本质上关注的是全体人民的健康而不是个人的健康，因为市场本身是不健康的一个主要来源，因为个人的选择是社会调解的，所以使用启发式排除了对公共卫生工作价值的认识。虽然在一定程度上适应当前的政治现实是现实的需要，但公共卫生倡导者绝不能忽视长期形成完全不同的替代愿景的任务。
This paper models the prevailing political attack on government as a heuristic, a judgmental strategy that simplifies complex phenomena by applying simple tests to a limited set of relevant data. The heuristic of market individualism offers three tools for analyzing the problems of governing: the supremacy of the free market as a regulatory device, a belief in individual freedom of choice and personal responsibility, and the elevation of individual satisfaction as the chief goal-of society. Because public health is inherently concerned with the health of-the population rather than individual health, because the market itself is a major source of ill health, and because individual choice is socially mediated, use of the heuristic precludes the recognition of the value of public health work. Although some degree of accommodation to current political realities is a practical necessity, public health advocates must-not neglect the task of fashioning radically different alternative visions over the long term.